| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
503 |
461 |
$15K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
488 |
449 |
$12K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
195 |
179 |
$5K |
| 76642 |
|
209 |
180 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
58 |
57 |
$1K |
| 77066 |
Tomosynthesis, mammo |
36 |
27 |
$1K |
| 77065 |
Tomosynthesis, mammo |
39 |
39 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
254 |
232 |
$986.84 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
15 |
$653.94 |
| 76830 |
Ultrasound, transvaginal |
16 |
16 |
$602.56 |
| 71046 |
Radiologic examination, chest; 2 views |
78 |
75 |
$481.62 |
| 70450 |
Computed tomography, head or brain; without contrast material |
15 |
15 |
$392.92 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$364.00 |